Impact of Premium Subsidies on the Take-Up of Health Insurance: Evidence from the 2009 American Recovery and Reinvestment Act (Arra)

40 Pages Posted: 11 Jun 2014 Last revised: 8 Sep 2021

See all articles by Asako Moriya

Asako Moriya

School of Public and Environmental Affairs (SPEA), Indiana University

Kosali Ilayperuma Simon

Indiana University Bloomington - School of Public & Environmental Affairs (SPEA); National Bureau of Economic Research (NBER)

Date Written: June 2014

Abstract

We study the coverage impacts of a 65-percent health insurance premium subsidy which targeted employer-insured workers who lost their jobs between September 2008 and May 2010. Our research represents the first econometric analysis of the American Recovery and Reinvestment Act (ARRA) COBRA subsidy and contributes to a better understanding of consumer responses to government subsidized private health insurance and discussions surrounding Affordable Care Act (ACA) policies. Using data from the Survey of Income and Program Participation (SIPP) and a difference-in-differences estimation strategy, we find that the subsidy is associated with a substantial increase in own-name employer coverage among the targeted group. We estimate a -0.38 to -0.27 price elasticity of demand for health insurance, depending on the specification. This suggests that consumers are somewhat more price sensitive than previously thought, although there are caveats to generalizing from past settings to individuals affected by ACA subsidies. We also find that part of the increase in subsidized coverage was offset by a decrease in unsubsidized non-group insurance.

Suggested Citation

Moriya, Asako and Simon, Kosali Ilayperuma, Impact of Premium Subsidies on the Take-Up of Health Insurance: Evidence from the 2009 American Recovery and Reinvestment Act (Arra) (June 2014). NBER Working Paper No. w20196, Available at SSRN: https://ssrn.com/abstract=2448881

Asako Moriya (Contact Author)

School of Public and Environmental Affairs (SPEA), Indiana University ( email )

1315 East Tenth Street
Bloomington, IN 47405
United States

Kosali Ilayperuma Simon

Indiana University Bloomington - School of Public & Environmental Affairs (SPEA) ( email )

1315 East Tenth Street
Bloomington, IN 47405
United States

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

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